NPIMap

Organization Active NPI

Yealy Eye East York, LLC

Doing business as Yealy Eye Care & Dry Eye Center of York

  • Optometrist
  • York, PA
National Provider Identifier
1215695994
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
YEALY EYE EAST YORK, LLC
Doing business as
Yealy Eye Care & Dry Eye Center of York
Practice address
2161 E Market St
York, PA 17402-2848
Phone
(302) 727-1384
NPI assigned
Nov 30, 2021
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael A Kernisky
Title
Practice Manager
Phone
(717) 201-3238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2161 E Market St
York, PA 17402-2848

Mailing address

244 N Queen St
Lancaster, PA 17603-3512

Other names 1

  • Yealy Eye Care & Dry Eye Center of York Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220302000017 PA Part B Supplier - Clinic/Group Practice 9537553862 Receives reassigned benefits from 11 practitioners
Practice locations: York, PA

National Provider Directory

National Provider Directory

Locations

244 N Queen St
Lancaster, PA 17603
Phone (717) 291-5951

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1215695994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N QUEEN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022848",
            "telephone_number": "302-727-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEALY EYE EAST YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "KERNISKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "717-201-3238"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yealy Eye Care & Dry Eye Center of York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.